Organization
INFANT FORMULAS INC.
Active
Other names
ABC MEDICAL SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF PETTIT (PRESIDENT)
(501) 753-3330
Entity
Organization
Contact information
Practice address
7625 COUNTS MASSIE RD, NORTH LITTLE ROCK, AR 72113-6656
(501) 753-3330
(501) 753-9378
Mailing address
7625 COUNTS MASSIE RD, NORTH LITTLE ROCK, AR 72113-6656
(501) 753-3330
(501) 753-9378
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0000000453
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145303716
—
AR
Enumeration date
07/05/2006
Last updated
08/06/2025
Update your record
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